| NPI | 1891312542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASSON NATHAN Administration 860-308-3823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2020-06-29 |